NCG050168_2024 DMR_20240319

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG050000
Apparel, Printing, Rubber, Etc.
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCGO5 0168 Person Collecting Samples:Steven Gerrald
Facility Name: Graphic Packaging International Inc Laboratory Name: Pace Analytical Charlotte,Asheville,LEAF Env.P.C.
Facility County: Robeson Laboratory Cert. No.: 37712, 37706, 5139
Discharge during this period:n Yes ❑No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances?❑Yes f No
If so,which Tier(I, II,or III)?
Part A:Vehicle& Equipment Maintenance Areas—Benchmarks in (Red)
Parameter
Code Parameter Outfall 001 Outfall 002
N/A Receiving Stream Class C C
N/A Date Sample Collected MM/DD/YYYY 02/12/2024 02/12/2024
00400 pH in standard units(6.0-9.0 FW,
6.8-8.5 SW) 7.1 6.6
46529 24-Hour Rainfall in inches 3.30 3.30
00552 Non-Polar Oil&Grease in mg/L(15) <4.8 <4.8
C0530 TSS in mg/L(100 or 50*) 11.6 23.4
00340 Chemical Oxygen Demand(COD)in
mg/L(120) <25.0 34.8
NCOIL New Motor/Hydraulic Oil Usage in
gal/month > 55 >55
Notes(optional):
"I certify by my signature below, under penalty of law,that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am
aware that there are significan enalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations."
3/i 9 /2cf
Signature of Perm tee or Delegated Authorized Individual Date